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Issued By CSG <br />Issued Department PW <br />Date Issued 11/15/2011 <br />Fund 401 <br />Program <br />Work Activity Work Order <br />CAVANAH, SHANE G. <br />PUBLIC WORKS <br />Accounts Program 710 <br />Title REPAIR 2 INCH 10721 7TH AVE SE 710119673 <br />Work Order No 20112520 Project <br />Status 11115/2011 Time_12,03 _ Original WO <br />Customer Information <br />Customer Name HATCH, MARSHELL <br />Address 10721 <br />Apartment No <br />State <br />Subdivision <br />Phone No 425 1 438.8205 <br />Second Phone 1 <br />E-Mail Address <br />Problem Information <br />Address 10721 <br />From Cross Street <br />To Cross Street <br />City <br />Subdivision <br />Street 7TH AVE SE <br />City <br />Zip <br />Ext <br />Ext <br />Street 7TH AVE SE <br />Page 1 <br />12/1/2011 14:51 <br />Function 119 Activity 673 <br />Activity Type SERVICE REQUEST <br />Billing <br />Map Book <br />Problem WATER <br />WATER <br />Sub Problem LEAK <br />LEAK <br />Requested By HSR <br />HOFFMAN, STEVEN R. <br />Agency <br />Initiated From PUBLIC <br />PUBLIC <br />Utility I-ocate (USA) No <br />Called Date <br />Assignment Information <br />Dept PW PUBLIC WORKS <br />Crew <br />Contractor <br />Assigned To WDL <br />WEAVER, DEAN L. <br />Assigned By <br />Assigned Date <br />To Be Comp Date <br />Scheduled Date <br />Scheduled Time <br />Route <br />Route Sequence <br />Comments <br />Customer Id <br />Zip <br />Change Map Y/N <br />Map Reference <br />Expiration Date <br />Status CL <br />Date Requested 1111151213111 <br />Related Request 00103408 <br />Priority Estimated Hours <br />Action Taken LEAK ON 2 INCH POLY. PUT IN 2 FEET OF 2 INCH POLY AND 2- 2 INCH CTS COMP <br />UNIONS. <br />Recommended Action <br />Approved By SDG SMITH, DAVID G Job Cost lnformation(Y/N) <br />Start Date Time Date Completed 1111512011 Permit No <br />Completed By Time Follow Up? n <br />